“Most recognized they are performing reasonably or very well on accountability measures, but there's still room for improvement,” Chassin said.
Chassin acknowledged the smaller, rural hospitals were overrepresented, compared to their percentage among the about 3,800 hospitals used in the study. Meanwhile larger, academic hospitals—such as Cleveland Clinic, Johns Hopkins Medical Center and the Mayo Clinic—weren't on the list. Chassin said these hospitals were underrepresented, as it's harder for a hospital with more patients to adhere to the standards. But at the same time these larger hospitals have better resources, he said.
Chassin said he hoped larger hospitals that didn't score as high would treat the results as a “wake-up call,” noticing the performances of their rural counterparts.
The 405 hospitals reflect 14% of Joint Commission-accredited organizations. Those listed as top performers attained two 95% performance thresholds established by the commission. They scored 95% or more on a composite score that included all the accountability measures reported to the commission, including those with fewer than 30 eligible cases or patients. The top performers also hit at least 95% on every accountability measure reported, excluding measures with less than 30 eligible cases or patients.
The Joint Commission will have new measures in place on Jan. 1, requiring all of its hospitals to score at least 85% on the metrics. Chassin said 121 hospitals out of about 3,800 currently fail to meet the standard.
Those wanting to check out a specific hospital can do so here.